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General NPI Number Information
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NPI Number | 1306946249
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Entity Type | Individual
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Provider Name | SUZETTE C WORBOIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 263 MCLAWS CIR SUITE# 105
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5674
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Country | US
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Telephone | 757-941-5600
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Fax | 757-564-0557
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Provider Business Mailing Address
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Address Line | PO BOX 1239
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City | TROY
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State | MI
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Zip | 48099-1239
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Country | US
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Telephone | 248-824-6600
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Fax | 877-473-8164
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 39020000X
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0102202136
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License Number State | VA
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